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Home My WebLink About4.k. Approve Pay Estimate #6 - Shannon Parkway / Connemara Trail, City Project #189 � � � � � iTEM #�+ K . � , • CITY OF ROSE'MOUNT APPLICATION FOR PAYMFNT NO. �,z CITY PROJECT NO: ��_ SEH FILE NC}: �,"�S�¢____ PRQJECT: SHA NNo�J Pf��tC�v,�Y a- GON/V EIN�,� T�A-}L CONTRACTOR: �yTJ�J P� j(,��, CONTRACT DATE: DEC, S , ;�9,� ' �� ROJN'1" .�'1/�. APPLICATION DATE: SEPT. ?, 1�8q ,z,�`('. P_�N�!A/ SSl/'j FOR PERIOD ENDING: S�T. I �, 198�{ Total Contract Amount S Sb3 7 .So Total Amount Earned $ ¢'�$, I bb.S'7 Material Suitably Stored on Site, Kot Incorporated into Work S Contract Change Order No. • Percent Comp2ete S � Contract Change Order No. Percent Complete S � Contract Change Order No. Percent Compl.ete S GROSS AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . $ Q�'�'�,�, .S�T LESS S $ RETASNAGE . . . . . . . . . . . . . . . $ �31908.33 AMOUNT DUE TO DATE . . . . . . . . . . . . . . $ 4S'��✓"rf�•�'4" LESS PREVIOUS APPLICATIONS . . . . . . . . . . . . $ 3�.S,��i3 ! •�'O AMOUNT DUE THIS APPLICATION . . . . . . . . . . . $ 1�$,6�G•"1'4 T P ED:� . � �� , ichard M. i, City Engine J irector of Fublic Works � � - .� � �'' � � � ., � APPLICATION FOR PAYMENT SNORT ELItOTT � "' , --- �lE�VuRiCKSON. INC. (UNIT PRICE CONTRACT) S EP 7 1a89 NO. 6 ------- S�, P�UL 4WNER: ROSEMOUNT, MZNNESOTA OWNER'S PROJECT N0. 189 ------------------------------------- ENGZNEER'S PROJECT NO. 88254 LOCATION: RQSEMDUNT, MINNESOTA CONTRACTOR AUSTIN P. KELLER CONST. CO. CONTRACT DATE 481 FRONT AVF•.NUE CONTRACT AMOUNT $563,760.50 ST. PAUL, MN 55I17 CONTR. FOR SHANNON PARKV�AYW- SAP 208-106-04 & CONNEMARA TRAIL - SAP 208-104-02 APPL I C.DATE �p�ember 7, 1989 PERTOD END. August 7, 1989 to September 1, 1989 APPLICATION FOR PAYMENT CONTRACT QUANTITY UNIT DESCRIPTION UNIT QUANTZTY TO DATE PRICE TOTAL SECTION I - SANITARY SEWER 0256.408 �8" PVC, 10' -].2' DEEP L.F. 215 2i5 10.00 $ 2�154.00 0256.408 8" PVC, 12'--].4' DEEP L.F. 65 65 10.00 S 650.OQ 0256.408 8" PVC, 14' -16' DEEP L,F. 95 95 . 10.00 $ 950.00 0256.406 8" PVC, 16'-•J_8' DEEP L.F. 260 26p 10.00 $ �,gpp,pp 0256.408 8" PVC, 18' -20' DEEP L.F. 360 360 1�.00 $ 3.600_00 0256.408 8" PVC, 20' -�2' UEEP L.F. 49 g2 10.00 $ ��p.00 0256.60$ 8" DIP, 10' -1.2' DEEP L.F. 2� 2p 16.00 S 32n.00 0256. 608 8" DIP, 12' -].4' DEEP L.F. 45 45 16.00 $ 72SLQ0 PAGE 1 OF 5 SNORT-ELLIQTT-HENDRICKSON, INC. . � • � , 025�.608 8" DIP, 14'-16' DEEP '` L.F. 45 4� 16.00 $ 720•� 0256.b08 8" DIP, 16'-18' DEEP L.F. 40 40 16.00 $ �•� 0256.608 8" DIP, 18'-20' DEEP L.F. 50 153 16.00 $ 2.�•� 0256.608 8" DIP, 20' -:22' DEEP L.F. 65 328 16.00 S 5,248.00 0256.60$ 8" DIP, 22'-24' DEEP L.F. 33� 476 16.00 $ ?,616.00 0256.608 8" DIP, 24'-26' DEEP L.F. 595 5g3 16.00 S 9,328.00 0256.608 S" DIP, 26'-28' DEEP L.F. 301 q�6 16.00 $ 7,616.00' 0256.701 STND MANHOLE, 8' DEEP EACH 11 12 800.00 $ 9.600.00 0256.?02 EXCESS DEPTH STND MH L.F. 148 1,4,3 70.fJ0 $ 10,010.00 0256.706 MANHOLE DROP SECTION L.F. 41 �8_3� i10.00 $ 4,216.30 0256.900 CONNECT TO EX SEWER EACH 5 4 1500.C}0 $ 6,OQ0.00 0256.910 8" DIP FORCEMAIN L.F. 1700 1,733 12.00 $ 2Q,796.OQ 0256.911 AIR RELIEF MANHOLE EACH 1 1 2000.00 $ 2,040.00 SECTT�N II - WATERMAIN 0257.406 6" DIP WM, rL. 52 L.F. 380 361 10.00 S 3;610.00 0257.4Q8 8" DIP WM, CL. 52 L.F. 45 35 I2.00 $ 420;00 b � Dfs 0257.412 12" DIP WM, CL. 52 L.F. 605 �� 15.00 S 9,430.Q0 0257.416 16" DIP WM, CL. 52 L.F. 2270 �T�ac}_ 23.00 S 51,727.00 0257.606 6" RS GATE VALVfi & 80X EACA � 8 g 300.00 $ 2�400.00 0257.508 8" RS GATE V�LVE & BOX EACH l l 400.00 S c}pQ.00 0257. 613 12" BTRFLY UALVE & HOX EACH . 1 � 650.00 $ 650.00 0257.617 16" HTRFLY V�LVE & HOX EACH 3 4 1300.00 $ 5,2pp.pp 0257. 630 FITTINGS LES� THAN 12" LH. 490 �5� 1.00 $ 450_00 0257. 631 FITTINGS 12" AND LARGER LB. 7250 76q� 1.00 $ ],694.00 0257. 640 FIRE NYDRANT EACH 7 6 925.00 $ 5�554.00 0257.903 CONNECT TO EX WM EACH 7 4 500.OQ $ 2,Q00.00 PAGE 2 OF 5 SHORT-ELLIOTT-HENDRICKSON, II�IC. . , • � � SEC'�'ION III - STREET, STORM SEWER, AND LIGHTING 2021.5Q1 MOHILIZATION L.S. 1 1 18000.00 $ 1,800.00 2105.501 COMMON EXCAVATION C.Y. 1000 l�p__ 2.00 $ �,(}�p.pp 2105.521 GRANULAR BORROW (L.V. ) C.Y. 1000 n I.00 $ p_OQ 2112.501 SUHRADE PREPARATION R.S. 44 � 100.00 $ a,�._� 2116.501 CORE EXCAVATTON C.Y. 2000 2000 1.00 $ 2,000.00 2116.503 AGGREGATE BACKFILL C.Y. 2000 Q 1.00 $ 0.00 02J.1.504 4" AGG BASE FOR SDWALK, CS.F. 33D60 �6594__ �-�� $ �,318.80 2211.503 AGG HASE PLACED, CL. 5 C.Y. 6050 �117 , 7• 50 $ 45.877.5Q 2331.504 BIT MATERIAL FOR MIXTURE TON 130 �r,�_�� 128.00 $ 19.56Q_96 2331.514 BASE COURSE MIXTURE TON 2$90 2,977.49 8..00 $ 23,819.92 2341.504 BIT MATERIAL FOR MIXTURE TON 173 145.44 128.00 $ ].8�616.32 2341.508 WEARING CQURSE MIXTURE TON 2890 2796.88 g•2Q S 22.934.42 2357.502 BIT MAT FOR TACK COAT GAL. 1310 1300 1.00 $ 1�3�.00 2503.511 12" RCP STORM SEWER, CL. V L.F. 565 514 14.00 $ 7,196.00 2503.511 15" RCP STORM SEWER, � CL. IV L.F. 832 �gl 16.Cf0 $ 12,656.00 2503.51I 18" RCP STORM SEWER, CL. IV L.F. 653 7t4 17•a� $ 12,138.00 2503.511 21" RCP STORI�t S�WER, CL. IV L.F. 511 51z 18.00 S 9,216.00 2503.511 24" RCP STOFtc� SEWER, 432.00 CL. III L.F. 24 24 18.00 $ 2504.602 ADJUST GATE VALVE BOX EACH 21 19 100.Ci0 $ I��•� 2506.506 CONSTRUCT MH, DESIGN B L.F. 82. 5 75 92.00 S 6,900.00 2506.506 CONSTRUCT MH, DESIGN C L.F. 5.6 15 190.00 $ 2,850.00 2506.506 CONSTRUCT MH, DESIGN C-1 L.F. 8.6 7 170.00 $ 1�190.00 2506.506 CONSTRUCT MH, DESIGN Y L.F. 22 17.64 1?5.00 $ 3,087.00 2506.509 CONSTRUCT MH, DESIGN X L.F. 32. 1 26.34 105.00 $ 2r765.70 PAGE 3 OF 5 SNORT-ELLIOTT-HENDRICKSON, INC. . � � . � 2506. 511 RECONSTRUCT MANHOLE L.F. 20 2.3 65.00 $ 149.50 . � 2506.516 CASTING ASSEMBLY, TYPE R-1733 EACH 10 lp 150.00 $ 1,500.00 2506.516 CASTING ASS�,^4HLY, TYPE R-30b� EACH 16 17 250.00 S 4,250.00 - 2506.522 ADJUST FRAME AND RING CASTING EACH 56 �� 100.00 S 6�100.00 2521.511 2" SITUMINOUS WALK S.F. 33060 ��528 0.30 $ 9,758.4� 2531.501 CONCRETE CURB & GUTTER, DES IGN D418 L.F. 2920 2g4g 4.3t? $ 12,676.44 2531.501 CONCRETE CURB & GUTTER, DESIGN H618 L.F. 5640 5 g�_ 4.30 $ 23,624,20 2545.511 LIGHTING UNITS, TYPE B EACH 5 6 1000.00 $ 6,000.00 2545.511 DIRECT BURIED CAHLE L.F. Z110 259g 3.00 $ �,797.00 2545.552 FEED'POINT EACH 2 3 1500.00 $ 4,500.00 2554.505 PERMANENT HARRICADES L.F. 32 � 25.00 $ 1�&OO.flO 2564.531 F&Z SIGN PANELS, TYPE C S.F. 193 121.95 17.00 $ 2,073.15 0564.602 CROSSWALK PVNfENT MESSAGE EACH 2 p � 90.00 S 0.00 2564.603 4" WIDE S(3I,Ill LINE, YELLOW L.F. b750 Q 0.25 $ 0.00 2564.603 4" WIDE HROKH.;N LINE, WHITE L.F. 980 n 0.25 $ 0.00 PAGE 4 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. � . ' �1PPL�TION FOR PAYMENT - ,Continued � � ' �¢Z8, t;6►b•57 o�s Total Contract Amount 5 563,760.5o Total Amount Earned $ , .5� ► Material Suitably Stored on Site, Not Incoporated into Work $ 0.00 Contract Change Order No. _ Percent.Complete $ Contract Change Order �lo. __ Percent Complete $ Contract Change Order ��o. _ Percent Complete $ � 4'�t3, 1b6s7 °F: GRDSS AMQUNT DUE. . .. . . . . . . .. . . . $ ,..�C84�,-3f�:�7 LESS _,�_� RETAINAGE. . . . . .. .. � z,_2,4�8� � 454,�5g.�.4o • AMOUNT DUE TO DATE. . . . . . . .. . . $ -4�3,�4�:�4- LESS PREVIOUS APPIICATIONS.. . . . $ 325,631.50 , • 128,�b�6.'14 aF Ah�UNT DUE THIS APPLICATION. .. . $ - CONTRACTOR'S AfFIDAVIT The undersigned Contractor hereby swears under penalty of perjury that (1) all previous progress. payments received from the Owner on account of work performed under the contracL referred to above have been applied by the undersigned to discharge in full all obligations of the under- signed incurred in connection with work covered by prior Applications for Payment under said contract, and (2) all material and equipment incorporated in said Project or atherwise listed in or covered by this Application for Payment are free and clear of alt liens, claims, security interests and encumbrances. . . Oated $eptember 7 � 1� 89 Austin P. Keller Construction Co. • Contractor � gy ame and T� le Thomas M. Kell r, President �OUNTY OF �l�e� ) SS �TATE OF ) 3efore me on this � day of �Pt�r , 19 89 personally appeared 3�hcxnas rt. Keller nawn to me, w o being i�uTy sworn, did depose ind say that he is the Pres� ent of the Contractor above mentioned; 0 fi ce �r�..,,�.,._._ that he executed the above Application for Payment a' - �,fidavit on behalf� o said Contractor; and that all of the statements contained therein ar ", o rect and compl te. , My Cor�ni s s i on Exp i res: 8/15/95 o ry u The undersigned has checked the Contractor's Appiicatio� for Payment shown above. A part of this Appl�cation is the Contractor's Affidavit stating that all previous payments to him under this Contract have been applied by him to discharge in full all af his obligations in . cor�nection with the work covered by all pr�or Applications for Payment. In accordance with the Contract, the undersigned approves payment to the Contractor of the Amaunt Oue. Z Q� SHORT EL I EN CKSON, N Da te _,�� V _ By , p�4e 5 �f 5